This 38 year old patient from Guanajuanto, Mexico found Dr. Pousti on the internet and knew that he was the Dr. to help her achieve her goals. She had multiple breast operations and currently had significant implant mal-position (significant asymmetry, symmastia and highly unsatisfactory cosmetic results). Symmastia - commonly referred to as "breadloafing" or "uni-boob", occurs when two implants touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest. Symmastia results from overly aggressive attempts to alter chestwall anatomy trying to increase cleavage in patients. This outcome is made worse by use of larger implants in thin patients, and is a problem for implants over or under the muscle, though submuscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.

She and her husband took the time to travel to Dr. Pousti's La Jolla Plastic Surgery office for their consultation.

After meeting with Dr. Pousti, they both felt very comfortable with their decision to proceed with revisionary breast sugery.

Markings were performed the night prior to surgery and the procedure was discussed in detail with the patient and her husband. The "red" area denotes the separation that will be corrected.

In the operating room, Dr. Pousti took care to achieve the best result for the patient.

Tape and a special bra were used to stabilize the cleavage area and support the internal sutures.

This patient wanted to achieve the largest size possible without compromising the symmastia repair. 600cc high profile Silicone Gel implants were used on this patient to achieve her results. She is only a month out from surgery and extremely happy with her results.